Registration

Registration open from February 1st - April 30th for kids who will be entering 1st-6th grade in the 26/27 school year.

Please fill out form below. Questions? Contact Steve or David.

We will be meeting Saturdays in June from 9-10:30 am at Voelz Park in Danube. (June 6th, 13th, 20th, 27th)

Registration Info

Parent/Guardian *

Phone Number*

Email Address*

Address

Emergency Contact*

Child's Name(s) and Grade they will be entering.*

Saturdays your child will not be able to attend (we will meet June 6, 13, 20 and 27)

Special Notes

I hereby give permission for my child's image, name, and/or accomplishments to be used in publicity materials, including but not limited to print, online, and social media, by the organization. *

Yes

Participant Waiver & Liability Agreement*

I understand that there are risks associated with playing all sports and field related activities. In consideration for the privilege to use the facility and/or attend or participate in the camp/clinic, my registration indicates that I assume the risk of any injuries that myself or my children/wards may sustain while participating in any activity at Nineteen30 Soccer and for any injuries which myself or my children/wards may sustain while on the premises of Voelz Park or other locations used. I ensure that I am or my child is physically and mentally able to participate in physical activities and have been examined by a licensed medical physician within one (1) year prior to attending this clinic/camp. I give permission for the organizers, volunteers, coaches and/or Police/EMS to start preliminary treatment and arrange transportation for me or my child to a local Emergency Room in the event that I or my child become(s) ill or injured. By checking off and completing Registration, I acknowledge that I HAVE READ AND FULLY UNDERSTAND AND AGREE TO ALL OF ITS TERMS AND CONDITIONS INCLUDING PERMISION TO TREAT AGREEMENT. I further state that I have executed this waiver and liability voluntarily and with full knowledge of its significance to be binding on me, my heirs, executors, administrators and assigns.

Our goal is to get as many kids on the field as possible so there will be no registration fee this year! If you are able to help towards some of the costs, please go to the Give page and share what you can or reach out to Steve or David. You can also donate soccer gear to share with others! If your child needs help getting cleats or shin guards, contact Steve or David.

You may use one form to register multiple children.

*Parent/Guardian will also need to sign a liability waiver for the City of Danube on the first day since we will be utilizing the City Park.

Each of you should give what you have decided in your heart to give, not reluctantly or under compulsion, for God loves a cheerful giver.

2 Corinthians 9:7

Jerseys- Jerseys are not required to participate, but they're pretty cool! And they're only $15! Research indicates that kids who wear team uniforms feel more united and have a sense of belonging. Additionally, it promotes enthusiasm, motivation, and teamwork! Catie Cooreman will be making our shirt this year. She also offers hoodies and adult sizes! Click the button below to order.

Order Jersey

Registration

Registration Info

Registration Form

Contact